Organization Active NPI

Williamstown Medical Associates

  • Podiatrist
  • Williamstown, MA
National Provider Identifier
1649468299
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2045 Issued in MA
Legal business name
WILLIAMSTOWN MEDICAL ASSOCIATES
Practice address
197 Adams Rd
Williamstown, MA 01267-2930
Phone
(413) 458-8182
Fax
(413) 458-3140
NPI assigned
Oct 9, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert C Jandl, M.D.
Title
President
Phone
(413) 458-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2045 MA Primary

Addresses

Primary practice location

197 Adams Rd
Williamstown, MA 01267-2930

Mailing address

197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 458-8182

Other identifiers 1

IdentifierTypeStateIssuer
0358452MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1649468299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672930",
            "telephone_number": "413-458-8182",
            "fax_number": "413-458-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672930",
            "telephone_number": "413-458-8182",
            "fax_number": "413-458-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSTOWN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JANDL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-458-8182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358452",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.